THEODORA KULESZA-GALVEZ (MD) – Family Medicine Physician, NPI 1013323450
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for THEODORA KULESZA-GALVEZ (MD)
5414 FREDERICKSBURG RD STE 260
SAN ANTONIO, TX 782293763
Phone: (210) 452-2669
Type: Location
16 AVENUE C
LODI, NJ 076441816
Phone: (201) 289-6448
Type: Mailing
184 ESSEX ST
LODI, NJ 076442707
Phone: (201) 843-3207
Type: Location
1135 Broad St
Ste 201
Clifton, NJ 070133346
Phone: (973) 754-4100
Fax: (973) 754-4190
Type: Location
184 Essex St
Lodi, NJ 076442707
Phone: (201) 843-3207
Type: Location
5414 FREDRICKSBURG RD
STE 260 BLDG B
SAN ANTONIO, TX 782293763
Phone: (726) 600-1775
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $324.
Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Novo Nordisk Inc ($94).
Total Amount
$324
General + Research + Ownership
Payments
20
Total payment records
General Amount
$324
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $94 |
| Amgen Inc. | $68 |
| Lilly USA, LLC | $52 |
| GlaxoSmithKline, LLC. | $28 |
| ALK-Abello, Inc | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180719002760 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 107 | 29 | $0 |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 53 | 22 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 30 | 17 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 23 | 13 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 21 | 16 | $0 |
Insurance plans in this area (ZIP 78229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| General Surgery | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| General Surgery | TX | |
| - | TX |
Reviews
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